Healthy Child Care Pennsylvania : Request for ECELS Materials


		Well Care Tracker™ This Internet software tool helps manages health records, including the assessment of children's immunizations and screening tests.
		Fact Sheets
		Caring for Our Children
		PA Department of Health

		A/V Lending Library
		Calendar of Events
		Request Materials
		Request Self-Learning Modules
		Request for Training Event
		Register as an ECELS Health Consultant
		E-Mail Alerts from ECELS Receive E-Mail Alerts about health and safety news, website postings, and Health Link Online. Sign-Up, Remove or Update your e-mail address.

ECELS -
Healthy Child Care PA

Rose Tree Corporate Center II, Suite 3007
1400 N Providence Rd
Media, PA 19063

PA Only: 800-24-ECELS
Phone: 484-446-3003
Fax: 484-446-3255

E-mail: ecels@paaap.org

Upon completion and submission of this form, your request for ECELS materials will be
e-mailed to ECELS-Healthy Child Care Pennsylvania. Fields in red are required.

Please note: Free materials provided to PA health and early education and child care professionals only.

Name:
Title:
Child Care Program or Agency:
DPW Facility ID# (if applicable)
If a consultant, check here:
Address 1:
Address 2:
City:
State:	PA
Zip:
Phone:	Must be in 123-456-7890 format.
E-mail:	A copy of this request will be e-mailed to the address provided.
Video Format (select one):
Publication (s) :	To select multiple items, click on the first item you want to request. While holding the CTRL key (APPLE KEY for MAC users), click on any additional items you wish to include. Please note: You may not select more than 3 items.